46712 Repair per/vag pouch dbl procedure
Also known as: two-stage pouch repair, staged reconstruction, cloacal repair
Repair of perineal or vaginal pouch as two-stage procedure. Initial stage establishes stoma, second stage reconstructs anatomy.
In Plain Language
fixing a perineal/vaginal pouch in two operations; staged reconstruction of cloacal abnormality
Clinical Context
Preferred approach for complex cloacal anomalies. First stage creates protective colostomy; second stage reconstructs anatomy.
RVU Breakdown
| Work RVU | 35.54 |
| Total RVU | 35.54 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 35.54, this code ranks in the 95th percentile among Surgery codes — 4.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46712?
CPT 46712 (Repair per/vag pouch dbl procedure) is a Surgery code. Repair of perineal or vaginal pouch as two-stage procedure. Initial stage establishes stoma, second stage reconstructs anatomy.
What is the wRVU value for CPT 46712?
The work RVU for CPT 46712 is 35.54. This code is primarily used by Colorectal Surgery, Pediatric Surgery. It has a 90-day global period.
When is CPT 46712 used?
Preferred approach for complex cloacal anomalies. First stage creates protective colostomy; second stage reconstructs anatomy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.